Table 3.
Summary of findings for each leukocyte population examined for each condition tested and subsequent recommendations for implementing the TP1 assay in a multicenter clinical trial.
| Cell Type | Parameter | Antibody Staining Panel Storage at 4°C (0–8 weeks) |
Time between blood draw and staining (2–24 hours) |
Stained samples shipped at 4°or −80°C (compared to 2 day storage at same temperature) |
Storage of stained samples at 4°or −80°C (3– 120 days)b |
|---|---|---|---|---|---|
| Granulocytes | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | No Effect |
| CD3+ lymphocytes | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | No Effect |
| CD4+ T cells | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | No Effect |
| CD8+ T cells | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | No Effect |
| B cells | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | Decrease at 13 days when stored at 4°C ; No effect at −80°C |
| mDC | Cells/µl whole blood | No Effect | Increase at 24 hours | 4°C causes decrease; No effect at −80°C | Decrease at 13 days when stored at 4°C ; Slight decrease beginning at 23 days at −80°C |
| pDC | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | Decrease at 13 days when stored at 4°C ; Slight decrease beginning at 23 days at −80°C |
| CD56bright NK cells | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | No Effect |
| CD56dim NK cells | Cells/µl whole blood | No Effect | No Effect | 4°C causes decrease; No effect at −80°C | No Effect |
| CD56-NK cells | Cells/µl whole blood | ---a | Increase at 24 hours | 4°C causes decrease; No effect at −80°C | No Effect |
| Classical monocytes | Cells/µl whole blood | No Effect | Decrease at 24 hours | 4°C causes decrease; No effect at −80°C | No Effect |
| Intermediate monocytes | Cells/µl whole blood | No Effect | Vary beginning at 4 hours | 4°C causes decrease; No effect at −80°C | Increase at 13 days when stored at 4°C; No effect at −80°C |
| Non-classical monocytes | Cells/µl whole blood | No Effect | Vary beginning at 4 hours | 4°C causes decrease; No effect at −80°C | No Effect |
| CD86high HLA-DRhigh classical monocytes | Frequency of Parent | No Effect | Increase at 24 hours | No effect at either temperature | Increase at 13 days when stored at 4°C ; Decrease beginning at 13 days at −80°C |
| CD86high HLA-DRhigh intermediate monocytes | Frequency of Parent | No Effect | Vary beginning at 4 hours | No effect at either temperature | Decrease beginning at 13 days for both temperatures |
| CD86high HLA-DRhigh non-classical monocytes | Frequency of Parent | No Effect | Vary beginning at 4 hours | No effect at either temperature | Decrease beginning at 13 days for both temperatures |
| Protocol Recommendation | Prepare antibody staining panel in large batches and store for up to 8 weeks at 4°C. | Stain blood within 4 hours of blood draw if interested in monocyte populations and 8 hours for consistent data on DC or NK cell populations. | Ship samples overnight on dry ice at −80°C. | Store samples at −80°C and collect them on the flow cytometer within 2 weeks of staining if interested in DC concentrations or monocyte activation. A reduction in the CD86 PE Cy5 MFI indicates that decreased activation percentages are likely due to loss of CD86 PE Cy5 staining. |
CD56- NK cell counts were not able to be reliably gated due to very low frequency in the participant tested in this experiment.
Samples were only stored at 4°C up to 13 days beca use preliminary testing showed that gating was not possible past this point due to increased autofluorescence and reduced separation in some channels.